Weight loss, Internal Medicine FAQ

Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery

Unexplained fever with low-grade temperature, unintentional weight loss, and joint and muscle pain? Hello, doctor. I have undergone numerous tests in the infectious disease department, and the only abnormal finding was a slightly elevated cancer marker (for reference only) and a ...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it does align with the situation of "fever of unknown origin." We should indeed be cautious about atypical infections or bone marrow issues. Therefore, I agree with your infectious disease physician's recommendation to conduct furt...

Managing High Blood Sugar: Tips for Military Physical Exam Success

During the military service physical examination, it was reported that the blood sugar levels were elevated? On November 16, I was informed that I needed to undergo a re-examination due to high blood sugar levels. Prior to that, my weight was 80 kg and my height was 167 cm. After...

Dr. Ke Taiyuan Reply:
Aerobic exercise is the main focus. Light aerobic exercise can be done 30 minutes after a meal, jogging can be done after one hour, and long-distance running can be done after two hours.

Unexplained Weight Loss: Understanding the Causes and Concerns

Unexplained weight loss? Hello doctor, I am 163 cm tall and my weight fluctuates between 85-86 kg. I have been controlling my diet, consuming about 1200-1500 calories per day, but I only drink around 1500 cc of water daily, so my weight hasn't changed much. Recently, I notic...

Dr. Hong Yuanbin Reply:
Hello, based on your description, if you do not have any specific physical discomfort, this weight change should be within the physiological range. For example, your weight will typically be lower in the morning after fasting overnight, and it will naturally be higher in the afte...

Understanding Renal Ptosis: Causes, Effects, and Management Strategies

Nephroptosis (floating kidney) Hello, doctor. I would like to ask about my mother, who underwent surgery about six years ago to remove a large hepatic cyst. She has been having regular abdominal ultrasounds for follow-up every year. Recently, the doctor mentioned that she may hav...

Dr. Ke Taiyuan Reply:
Floating kidney is more commonly seen in individuals who are slender or have experienced rapid weight loss. Common symptoms include lower back pain. If symptoms are present, a support belt can be used to stabilize the kidney in a higher position. It is recommended to lie down wit...

Understanding Oily Stools: When to Seek Further Medical Evaluation

Oily stools during bowel movements? In the past month or two, I have noticed some oily residue in the toilet water after bowel movements. Although my stools are well-formed, I still feel an oily sensation when wiping. I don't experience much abdominal pain. I have undergone ...

Dr. Hong Yuanbin Reply:
Hello, the first step is to confirm whether it is "oil." It is recommended to not flush the toilet after a bowel movement. If it is oil, you will see oil floating on the surface of the water next to the stool. If you do not see this, the likelihood of it being "oil...

Understanding Blood Sugar Issues: Insights on PCOS and Metabolic Health

Blood sugar issues Question 1: Recently, due to polycystic ovary syndrome, I was prescribed oral metformin and SGLT2 inhibitors. Although these are not for diabetes treatment, I underwent blood tests due to gynecological examinations revealing metabolic issues. My fasting blood g...

Dr. Lin Jianliang Reply:
1. On the day of fasting blood glucose testing, do not eat or take any medications. 2. Fasting blood glucose is 106 mg/dL, and hemoglobin A1c is 6.2%, indicating prediabetes. 3. Avoid all types of sugars, including brown sugar, black sugar, white sugar, cube sugar, fructose, and ...

Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?

I would like to ask which department I should visit? I have been taking weight loss pills for a long time, but when I'm not taking them, my face really gets swollen, looking like a pig's head when I wake up. I often feel fatigued and can sleep up to 18 hours a day for s...

Dr. Ke Taiyuan Reply:
Hello, thank you for your inquiry. There are many causes of edema. It is recommended to seek further evaluation at a general internal medicine or nephrology clinic. The Chiayi Hospital of the Ministry of Health and Welfare cares about you!

Understanding Sjögren's Syndrome and the Role of Mycophenolate

Sjögren's syndrome and myositis? Dear Doctor, I am 51 years old and was diagnosed with Sjögren's syndrome in 2015. My main symptoms include dry eyes, mild vasculitis in the lower extremities, weight loss, and a white blood cell count of approximately 2800 to 3500. So f...

Dr. Gao Jiankai Reply:
Hello SUNNY, thank you for your message. The disease activity of Sjögren's syndrome is related to clinical symptoms (such as gland swelling and new vasculitis lesions) and laboratory results; however, changes in antinuclear antibody levels do not necessarily indicate disease...

Rising BUN and Creatinine Levels: Should You Worry About Kidney Health?

If BUN and creatinine levels are continuously rising (but still within the normal range), does this indicate a problem with the kidneys? Hello Doctor: I had a blood test in November 2017, which showed a BUN of 6 and a creatinine level of 9. In August 2018, I had another blood tes...

Dr. Wu Hongjie Reply:
1. BUN and creatinine (CRE) have standard values established by each laboratory. As long as the values are within the normal range (e.g., CRE: 0.7-1.3), the results indicate that they fall within the normal limits. Fluctuations in these values can be significantly influenced by d...

Understanding Thyroid Dysfunction: Impact on Weight and Ear Issues

Hyperthyroidism? Hello doctor, I have been taking the third pack of oral contraceptives, alternating between YAZ and NINA. I have had issues with ear congestion for several years, which initially did not affect my daily life. Recently, however, I have been experiencing multiple e...

Dr. Hong Yuanbin Reply:
Hello: Based on your description, here are a few points to clarify: 1. Regarding thyroid issues: I'm not sure if you have symptoms of hyperthyroidism, such as sensitivity to cold, weight loss, increased anxiety, or frequent diarrhea. If you do not have these symptoms, an i...

Managing Blood Sugar Levels: A Guide for Overweight Individuals

Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...

Dr. Lin Jianliang Reply:
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.

Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions

Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...

Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...

Understanding Lymph Node Swelling in the Groin: Causes and Concerns

Lymphatic issues Hello, Doctor. I have noticed that I have two or three swollen areas in my left and right groin that have persisted for about six months. They are all less than 1 cm, do not hurt when pressed, and are movable. However, I often feel a dull ache in the area where m...

Dr. Hong Yuanbin Reply:
Hello, there are many causes of lymphadenopathy. Given your age, it is more likely due to an injury or infection in the leg. We need to confirm if you have experienced any fever, weight loss, or other discomfort. If the swelling persists, you may consider undergoing a lymph node ...

Understanding Blood Pressure Variations: Morning vs. Evening Readings

Significant differences in blood pressure between morning and evening? Due to diarrhea, I lost 6 kilograms (currently 163 cm, 61 kg). I suddenly stopped taking Concor (while on the medication, my blood pressure was 132/85). After discontinuing, my morning blood pressure readings ...

Dr. Lin Wuxuan Reply:
Hello: If you experience a weight loss of 6 kilograms in a short period due to diarrhea, along with lower blood pressure than usual, and your blood pressure remains stable even after stopping antihypertensive medication, there may be concerns about inadequate fluid volume. It is ...

Understanding Low C-Peptide Levels: Is It Type 1 Diabetes?

Low C-Peptide Hello Dr. Lin, My current fasting blood glucose is 90 mg/dL and 2-hour postprandial is 80 mg/dL, which seems normal. However, my HbA1c is 6.2%, and my peptide insulin level is only 0.6. About a year and a half ago, I experienced a sudden and significant weight loss...

Dr. Lin Jianliang Reply:
1. Based on the information you provided, your likelihood of having type 1 diabetes is low. 2. Avoiding all-you-can-eat restaurants, enhancing dietary control, and increasing physical activity should help improve your blood sugar levels. 3. Improving your lifestyle, being mindful...

Struggling with Weight Loss: Overcoming Challenges and Finding Solutions

Weight loss and related issues? Hello, (1) I was diagnosed with Mediterranean anemia during a health check-up, but my doctor said it is not severe and does not require treatment. My BMI is 27, which classifies me as overweight. I do not have a specific plan for weight loss and ...

Dr. Ke Taiyuan Reply:
1. The fundamentals of weight loss are still dietary control and regular exercise. Dietary principles include low calories, high protein (meat, fish, beans, eggs, dairy), high fiber, low salt, low oil, and low sugar. Reduce calorie intake outside of main meals, and if you feel hu...

Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results

How to improve blood sugar levels? Last Friday, I suddenly experienced itching all over my body, and I was worried it might be diabetes. I felt very low and anxious for three consecutive days—Friday, Saturday, and Sunday—resulting in insufficient sleep. On Monday, I went to the h...

Dr. Xiao Yongxun Reply:
Dear Mr. Cc: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dl after fasting for more than 8 hours, b. A 2-hour plasma glucose level of ≥200 mg/dl during an oral glucose toleranc...

Should You Be Concerned About Your Blood Sugar Levels?

Is there a concern for diabetes? I had a company health check-up and my fasting blood glucose level was 101 after fasting for more than 12 hours. According to online standards, it should be below 100. Should I start dietary control and see a doctor for follow-up? I am 180 cm tall...

Dr. Xiao Yongxun Reply:
1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after 8 hours or more of fasting, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test, c. An HbA1c of ≥6...

Weight Gain of 15 kg in 8 Months: Is It Related to My Medications?

Gained 15 kilograms in 8 months? Hello, doctor: I would like to ask if gaining 15 kilograms in 8 months indicates a problem with my body. I eat a normal amount for three meals a day and drink 3 to 4 liters of water daily. I also exercise three times a week for one hour. I have be...

Dr. Zeng Guosen Reply:
It is recommended to consult an endocrinologist for evaluation. Thank you for your question.

Managing High Blood Sugar: When to See a Doctor and Dietary Tips

Blood sugar issues? Hello, doctor. After my health check-up, I found that my blood sugar levels were elevated, so I completely stopped eating sweets. However, I often feel very hungry after meals. Although it doesn't significantly affect my daily routine, I would like to ask...

Dr. Xiao Yongxun Reply:
Dear Mr. Ahong: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for more than 8 hours, b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA...

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